A screening programme for microalbuminuria at a diabetes clinic in Apulia, southern Italy

S. De Cosmo, L. Picaro, A. Greco, G. C. Viberti

Research output: Contribution to journalArticle

Abstract

Microalbuminuria is a predictor of renal and cardiovascular disease in both type 1 (insulin-dependent) and type 2 (insulin-independent) diabetes. We report on a screening programme for microalbuminuria at a diabetes clinic in Italy. All diabetic patients without Albustix-positive proteinuria attending the clinic between April and September 1991 were screened. Microalbuminuria was defined as a urinary albumin/creatinine ratio, on an early morning sterile urine sample, >3 in at least two consecutive urine collections. Three hundred and fifty patients, 45 (20 female, 25 female) type 1 and 305 (145 male, 160 female) type 2 diabetics, were examined. The age range was 18-42 years and 36-73 years and duration of diabetes 1-24 and 1-35 years for type 1 and type 2 diabetic patients respectively. Blood pressure, lipids, glycosylated haemoglobin, body mass index and insulin dose, where appropriate, were measured in all patients. Microalbuminuria was found in 8 (22%) of the type 1 diabetics. These patients had a longer duration of diabetes (17.5 vs 7.4 years, P140/90 mmHg or antihypertensive treatment) and of dyslipidaemia (defined as total cholesterol >200 and triglycerides >170 or hypolipidaemic treatment) were significantly higher (P

Original languageEnglish
Pages (from-to)234-236
Number of pages3
JournalActa Diabetologica
Volume29
Issue number3-4
DOIs
Publication statusPublished - Sep 1992

Keywords

  • Diabetes mellitus
  • Diabetic nephropathy
  • Microalbuminuria
  • Screening

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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